Active NPI
Samuel Than, PHARMD
- Pharmacist
- Nacogdoches, TX
National Provider Identifier
1922608710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 63578
- Practice address
- 1030 N University Dr
Nacogdoches, TX 75961-4208 - Phone
- (936) 585-7810
- NPI assigned
- Oct 29, 2020
- Last updated
- Oct 29, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 63578 | TX | Primary |
Addresses
Primary practice location
1030 N University Dr
Nacogdoches, TX 75961-4208
Mailing address
1030 N University Dr
Nacogdoches, TX 75961-4208
Phone (936) 585-7810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63578 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603929600000",
"number": "1922608710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 N UNIVERSITY DR",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759614208",
"telephone_number": "936-585-7810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 N UNIVERSITY DR",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759614208",
"telephone_number": "936-585-7810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAN",
"first_name": "SAMUEL",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-29",
"last_updated": "2020-10-29",
"certification_date": "2020-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "63578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nacogdoches, TX
- Texas Palliative Services PA
- Texas Quick Care, LLC
- TGH Therapy PLLC
- TH Healthcare, LTD (NMC Inpatient Rehabilitation)
- TH Healthcare, LTD (Nacogdoches Medical Center)
- The Dental Center of Nacogdoches (Brent A Stephens,DDS PA)
- The Heart Doctor Imaging Center
- The Heart Doctor, Inc.
- Ronald G. Theiss, DDS, MAGD
- Therapy Elite, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.